Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Hampshire for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Hampshire only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Hampshire (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Coos County Family Health Services, Inc (NPI 1346242054)

Field	Value
Entity Type	Organization
Organization	Coos County Family Health Services, Inc
Address	133 Pleasant St
City	Berlin
State	NH
ZIP	03570
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	August 12, 2005

Payer Source	Total Paid
Medicaid	$12.2M
Medicare	$0

Key Findings

This provider is effectively single‑payer Medicaid: Medicare billing is listed as none on file while total Medicaid revenue is $12.2M, so the organization’s operative revenue stream is driven by Medicaid payments rather than Medicare. The absence of Medicare billing indicates its reimbursement exposure and payer relationships are concentrated in the Medicaid program.

Revenue is extremely concentrated in a single code set: the precomputed top 3 Medicaid codes by revenue account for 99.2% of this provider's total Medicaid revenue. In particular, T1015 alone represents $12M of the $12.2M total (73.3K claims at $164 avg paid/claim; 98.3% of Medicaid revenue), which demonstrates the provider’s financial model is dominated by the FQHC all‑inclusive clinic encounter payment.

The code mix identifies the organization as operating as a Federally Qualified Health Center with high-volume, bundled clinic encounters: T1015 (Clinic visit/encounter, all-inclusive) and G0467 (FQHC visit, established patient) are both top drivers, and 99214 appears among the top codes. These entries (73.3K claims for T1015 and 9.6K claims for G0467) point to an ambulatory primary‑care–centered service line that bundles multiple services per clinic day rather than relying on discrete fee‑for‑service high‑value procedures.

Competitive standing in the state is strong for core FQHC visit volume: T1015 ranks #3 of 81 providers in‑state (98th percentile; notably above typical state volume) and G0467 ranks #4 of 33 (91th percentile; notably above typical state volume). By contrast, 99214 ranks #27 of 416 providers (94th percentile) and is characterized as typical/unremarkable volume for that E/M code, indicating the provider’s dominance is concentrated specifically on the FQHC bundled visit codes rather than general office E/M billing.

Despite the tight revenue concentration, the provider delivers a breadth of ancillary services reflected in smaller revenue lines: vaccinations (90686, 90471), diagnostic testing (87428, 87811, 87804), behavioral health (90832), and dental procedures (D1110, D7140, D2391). Each of these codes contributes only fractional revenue relative to T1015, but their presence confirms an integrated primary care and preventive services mix consistent with an FQHC model.

There are identifiable programmatic outliers in specific low‑revenue lines that indicate relative emphasis versus peers: 99188 (fluoride adhesive) is ranked #1 of 7 in‑state (100th percentile; notably above typical state volume), highlighting comparatively high fluoride application activity, and G2025 (telehealth distant site) ranks #5 of 24 (83th percentile), showing above‑typical use of telehealth billing for an FQHC. These percentile labels indicate where the provider exceeds typical state volumes on discrete, lower‑revenue services.

Operational and financial implications of the billing profile are clear: with $12M of $12.2M Medicaid revenue tied to T1015 and the top 3 codes accounting for 99.2% of Medicaid revenue, the provider’s fiscal performance and capacity are highly sensitive to policy, rate, or coding changes that affect the FQHC all‑inclusive encounter. This concentration suggests limited revenue diversification and a business model that depends on sustaining high volumes of bundled FQHC visits.

The provider has an established presence in the programmatic landscape, with its NPI enumerated on 2005‑08‑12 (~21 years ago). That tenure supports an interpretation of sustained participation in Medicaid and continued operation of its FQHC model over a multi‑year period.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

72 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	73,270	$160	$12M
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	9,610	$10	$76.9K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	16,980	$1	$34K
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	330	$50	$15.7K
99188	The provider applies a fluoride adhesive over the tooth surface to prevent tooth decay, provide remineralization, or treat hypersensitivity.	1,210	$10	$13.3K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	870	$10	$7.8K
G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	950	$10	$7.6K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	2,750	$1	$5.5K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	1,680	$1	$5K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	80	$60	$4.9K

Showing 1–10 of 72

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Hampshire providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Hampshire Distribution

Coos County Family Health Services, Inc — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. New Hampshire median

72 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	3	80	760	$170	$2M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	91	130	520	$50	$338.8K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	126	190	500	$70	$286.7K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	27	420	480	$50	$223.9K
D1354	N/A	19	20	550	$20	$175.1K
D2392	Post 2 surface resin‑based composite	60	60	330	$110	$167.9K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	20	400	350	$30	$140.6K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	15	30	1,020	$30	$113.7K
D2391	Resin‑based composite – one surface, posterior	46	50	150	$100	$103.9K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	16	100	610	$30	$93.8K

Showing 1–10 of 72

Related Providers

Other providers that share a Tax Identification Number (TIN) with Coos County Family Health Services, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Coos County Family Health Services	NH	General Practice Dentistry	$0	$668K
Ahmad Rashid	NH	Podiatrist	$142.3K	$0
Coos County Family Health Services, Inc.	NH	Federally Qualified Health Center (FQHC)	$0	$54.2K
Justin Stone	NH	Psychiatric/Mental Health Nurse Practitioner	$12.6K	$0
Bonnie De Vries	NH	Family Medicine Physician	$350	$0

Nearby Providers

Other providers in the same ZIP code as Coos County Family Health Services, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Androscoggin Valley Hospital, Inc.	NH	Critical Access Hospital	$0	$8.3M
The Family Resource Center At Gorham	NH	In Home Supportive Care Agency	$0	$1.3M
Berlin Public Schools	NH	Local Education Agency (LEA)	$0	$1.2M
Berlin Emergency Medical Services Inc	NH	Land Ambulance	$338.5K	$376.2K
The Family Resource Center At Gorham	NH	Community/Behavioral Health Agency	$0	$663.7K
Weeks Medical Center	NH	Community/Behavioral Health Agency	$0	$594.6K
Androscoggin Valley Hospital Inc	NH	General Practice Physician	$0	$333.2K
Androscoggin Valley Home Care Services	NH	Home Health Agency	$0	$329.8K
Coos North Country Radiology P.L.L.C.	NH	Diagnostic Radiology Physician	$0	$207.7K
Donna Comire	NH	Psychiatric/Mental Health Nurse Practitioner	$88.2K	$0

Coos County Family Health Services, Inc — Billing Profile & Reimbursement Data

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Coos County Family Health Services, Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References